You are doing a history assessment on a new patient that was just transferred to your unit. As you ask her questions she eludes that she is living with family who are supposed to be caring for her but they are taking her retirement checks and only giving her very little of it. What type of abuse would you consider?
Financial.
Emotional.
Neglect.
Physical.
The Correct Answer is A
Choice A reason: Taking retirement checks and limiting access to funds is financial abuse, exploiting the patient’s resources. This violates elder rights, requiring reporting and social service intervention. Accurate identification ensures protection, critical for restoring financial autonomy and preventing further exploitation, enhancing safety and well-being in vulnerable elderly patients.
Choice B reason: Emotional abuse involves psychological harm like humiliation, not directly indicated by taking retirement funds, which is financial abuse. Assuming emotional risks misclassification, delaying financial protection measures, critical for addressing exploitation and ensuring the patient’s economic security, essential for elder abuse prevention and support.
Choice C reason: Neglect involves failure to provide care, like food or medical needs, not specifically taking funds, which is financial abuse. Misidentifying as neglect risks overlooking financial exploitation, delaying interventions like legal guardianship, critical for protecting the patient’s assets and ensuring safety in elder care settings.
Choice D reason: Physical abuse involves bodily harm, not indicated by financial exploitation like taking retirement checks. Assuming physical risks missing financial abuse, delaying reporting or social services, critical for stopping exploitation, restoring financial control, and ensuring the patient’s safety and dignity in elder abuse scenarios.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Warm, dry skin is a normal finding, reflecting adequate circulation and hydration, expected in healthy integumentary assessments. It’s not concerning unless accompanied by fever or dehydration. Assuming this is unexpected risks overcomplicating care, diverting focus from actual abnormalities like pressure injuries requiring intervention in skin assessments.
Choice B reason: A clear IV site without drainage is expected, indicating no infection or infiltration. Unexpected findings involve redness or leakage. Assuming this is abnormal risks unnecessary interventions, diverting attention from true integumentary issues like pressure injuries, critical for preventing complications in patients with prolonged IV therapy.
Choice C reason: A stage 1 pressure injury, with non-blanchable erythema, is an unexpected and concerning finding, indicating early tissue damage requiring intervention like repositioning or pressure relief. Unlike normal skin findings, this signals risk of progression, necessitating prompt documentation and care to prevent worsening ulcers in vulnerable patients.
Choice D reason: Skin color consistent with racial heritage is expected and normal, reflecting genetic pigmentation. Unexpected findings involve changes like pallor or cyanosis. Assuming this is abnormal risks misinterpretation, neglecting actual integumentary issues like pressure injuries, critical for accurate assessment and timely intervention in skin health.
Correct Answer is C
Explanation
Choice A reason: Normal blood pressure is <120/<80 mmHg, far below 148/92 mmHg, which is stage 2 hypertension per AHA guidelines. Assuming normal misclassifies the reading, risking untreated hypertension, leading to complications like stroke or heart failure. Accurate classification ensures proper management with lifestyle changes or medications.
Choice B reason: Stage 1 hypertension is 130-139/80-89 mmHg, lower than 148/92 mmHg, which is stage 2. Misclassifying as stage 1 underestimates severity, potentially delaying aggressive treatment like dual antihypertensives. Correct staging ensures timely intervention, critical for preventing cardiovascular damage in patients with elevated blood pressure readings.
Choice C reason: Stage 2 hypertension, per AHA, is ≥140/≥90 mmHg, matching 148/92 mmHg. This requires immediate lifestyle changes and likely medications to prevent cardiovascular events. Accurate classification guides treatment, ensuring blood pressure control, reducing risks of stroke, heart attack, or kidney damage in patients with significant hypertension.
Choice D reason: Elevated blood pressure is 120-129/<80 mmHg, below 148/92 mmHg, which is stage 2 hypertension. Assuming elevated underestimates the condition, risking inadequate intervention and progression to organ damage. Correct classification ensures appropriate management, critical for controlling hypertension and preventing long-term complications in affected patients.
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